HomeMy WebLinkAboutPermit Fire Damage Report 2009-10-14
Status
Iss u ed
eITY OF SPRINGFIELD
'I
Building/C~mbination Permit
PERMIT NO: €OM2009-01508
ISSUED: 10/14/2009
APPLIED: !10/14/2009
EXPIRES: /04/14/2010
VALUE: i $':700.00
. "
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726_3769 Inspection Line
PROJECT DESCRIPTION:
Springfield TYPE OF WORK: Apartment Building
. . I
I:
TYPE OF USE: Remodel
Fire Damage: Replacing Sheet Rock, Electrical Fixtures, and Plumbing Fixtures,
Adding Electric Heaters. (Vert. and Horiz. I-hour Assemblies) ,
Commercial
SITE ADDRESS: 158 17TH ST APT 9
ASSESSOR'S PARCEL NO.:. 1703363103100
Owner:
Address:
Contractor Type
Mechanical
PJS REAL ESTATE LLC 51 Ja,ua:)
15761 E ALTA VISTA WAYtvV8G-G88-00~-~ 'al.\' JOpaQwnu
SAN JOSE CA 95117o\reO\IHON ~';!l:~,~~" a,~~,uao all' 5Ul~\~:M
euu4U...'....T :. ',.:'=''In(j~ UIB\qo /\l:I\.M "_-~\ '~f"'\ 11\
. f,Q 5a\nJ al.\, It C0N;rRA€l1l0RJINFORMA:J;lON I
- ~OO-G9~ ~~ ~a\riJ a501l1 'o,.f~vs'3\liJ MOlloI
Contnict6~18 uo5alO all' f,q pa,dop 'NOll N3!d~ense
INNOVAT!X~.\Arnlm€1 Mill uo5alO. . 161742
BUILDING INFORMATION I
I
"
Expiration Date
,.
10/11/2010
Phone
541-746-1040
I,
# of Units: I # of Stories: 2 Lot Size:
Primary Occupancy Group: R2 Height of Structure Sq Ft 1St Floor: 567
I
Secondary Occupancy Group: Type of Heat: Electric Sq Ft 2~d Floor:
Primary Construction Type VB Water Type: Electric Sq Ft Basement:
Secondary Construction Type: Range Type: Electric Sq Ft Garage/Carport
I>
# of Bedrooms: I Energy Path: Sq Ft Qther:
Sprinkled Building: No Occupaht Load:
Ii
, DEVELOPMENT INFORMATION I
"
I
:;REQUIRED PARKING
"
!:Total:
,: Handicapped:
Compact:
Frontyard Setback:
Side I Setback:
Side 2 Setb,ack:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
NOTICE: # Street Trees R!W: HE WORK
T cRaAed I@.f'<l.\Rlildt 1
THIS PERM\ '~~of:i?:>"~\>3'<frwM\T IS NOT
~~:~,9~~~~~f'I U~~~ ABANDONED FOR
v...........- --.""'......
ANY.18cr@BLJ~~OVEMENTSI
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuatio~ Description'
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value 1:
Date Calculated
Pal[e I of 3
'! I
Status
Iss u ed
eITY OF SPRINGFIELD
1i
Building/Combination Permit
I ,
"
PERMIT NO: COM2009-01508
ISSUED: 10/14/2009
APPLIED: 10/1412009
EXPIRES: 04/14/2010
. VALUE: $!:700.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
$1.00
31,000.00
"
$31,OO~.00
$31,000.00
A
10/14/2009
Total Value of Project
F~p~. ~
$60.02
$25.01
$326.17
$95.00
$58.00
$21.00
10/14/09
10/14/09
10114/09
10/14/09
10/14/09
10/14/09
Receipt Number
"
'I
2200900000000001181
2200900000000001181
2200900000000001181
2200900000000001181
"
2200900000000001181
2200900000000001181
I'
Ii
"
,
"
,I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Fixture
Mechanical-Value
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Total Amount Paid
$585.20
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will ;be made the following
work day. "
~lrp1,I~
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Firewall: Located and constructed according to plans.
Final Building: After all required inspections have been requested and approved and the bJilding is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Framing Inspection: Prior to cover and after all rough in inspections have been approved. ,
Page 2 of 3
j
_41i~~~~.IIiJ'~,IQ~ .
. ."; ",:' . ~,-"'- .. r., '':~'t'.
Status
Issued
eITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01508
ISSUED: 10/1412009
APPLIED: 10/14/2009'
EXPIRES: 04/14/2010
VALUE: $ 700.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefully examined the completed application and do hereby ,certify that all
information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance with
tbe Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at tlie proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
~',"~,ru"'o". 10/14/ ()<f
Owner or Contractors Signature Date I I
Page3 of 3
. ';,.Xr.~"%"""'::':--;H':'"""'~'"='""':"=':"o/-'_<<I<tJ::c::';;;" .,,:.~:.~ --:c:',,,:'"
!M[)EI'ARTMENT~USEONl:Y, "
g=-",4,;.,%.; -;;;;:L-;'Sh;L'i;s-;,r,,;jfI/.~:;$t;=0f*~4tJt
Structural Permit Application
Pennit noei ~ J Se€ii)
I Date: 1-8 - J l' ~ G?-1 I
This permitis issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
-,'
I This project has finalland.use approval.
Signature:
I This project has DEQ 'approval.
Signature:
I Zoning approval verified:
I Property is within nood plain:
Date:
I (a) Job description feR Ii 811 i7lpOdll<tiMi- R,o};w'ld (Hie )
I Occopancy) BR /1 BII '. .
I Construction type: 'J/vlAr11ML<ld- Coy{J,,~ (VA)
I ' ,
Sqoare feet: Sc, 7 :'iF
11.~~.,_~~~;,ti~~ _:"?_'~_'*W"~'0,)~,.g:..~~~~:~.~~~:".",." M",~;_~g*~~~~~~::~~aI_'**'~:bi11 Cost per square foot: JJ ~~ /~'F
;':d~'!z~aQ13.f,sIl:E~I/IIf,'98l1'1!,1TlgN;!!,I/II,I:;>EJ;g<::!,I'I'IOJII~,,;~;gj! I Other information: j::,te. d~W1C/I)t _4,., I 'PI i+
I Job site address: J.,-g N. n i!J Sf; ',Apr*q I I T fit R:\' ii":'/
. . . j - . j - ype 0 eat: a.lAlQ.Nvt"'"' rIfl/r,{' .
ICity:6Pnl'llltlp,Ad lState: OR IZIPQ7477!I. . A/t'C/'iL 'I'A~ -=-..P~,efr
I ' . . .J, lit" L. 'b1 ,/, . {J Energy Path. IV,tr~. IIIof' fA.! = "D -r vv
Sobd,vISlon: 7 - ~ rl1lIlIm Lot no,: ,~, J I 0 l<>f.,
. \ r 10 "". . ~. m LJ(../ -. new lIftri alteratIOn D addition
i~~~1c"tl~i~~;R~~8JfYjr6;ER~~~5~':7!~~ : ~~!:~~:~::i::~~nIY permit? 0 Yes lJ No
I Address: ,~O;L F TovoYl llvo.. (1)S/..{
I City: ~I;\'A .JC~ . State LII I ZIP: 95/.:l.71
I Phone: J.fd.'r 891- !J/OcJ Fax'Jt\? . q,., - .~75'O
I E.mail: P!.ii/vo..s;/v.IAc-o~C:.i.CoM
This installation is being made on residential or fann property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
Date:
DYes
DYes
DNo
DNo
\ (a) Permit fee (use valuation table):
I (b) Investigative fee (equal to [2aJ):
I (c) Rcinspection ($ per hour):
(number of hours x fee per hour)
I (d) Enter 12%surcharge(.12x[2a+2b+2c]):
I (e) Subtolal of fees above (23 through 2d):
l$/~
$ /'U. 7:;'
$
l. 7.:-l./.&f1
Sign here:
"I~",p:~:","f'FCONTRAtTOR"iNsTAi!i:1A:rloN\Ji,~~7!~'~'rZf~il I (a) Plan review (65% x permit fee [2a]): .... " ,'77'+
~~~:'::~:AI/;~~;;R~~~;~j;;~i~;.:" ~21~..~, : ;:; ~~:t::i:;;:::;b~::~~: :;~~;:e [2a]) :~~ ~ ~1 r
!I ~E:~:SlifjJr;:/,~Jf IB:,=~:C~;:,~n2.1 i~:~~:~~;t~~:!:::~:;:::~~:~:~~
<.mm: I I fi [ft? a f(aJ!1{Lr'PSTr:YTtAnoVl. UJ!/1I\ . "
I CCB hcense no '; .s-3:L 3 b I " S.\.\" ..:F 5"3.r2-€r
I Prm! name, ,RfAJ^A:I /-urt=;~' ..Y 1- Q..,l...t
::;~;.~~1~C~TION~4ili~~1 ~&~S}.
I ~amc CCBLlcenseNumber I Phone Number /" ~ ~'/____A/.5 *-
I Electrical /79;!)/~ 15'4/-gQS- -l!i//'(,!- ~ n~_'
I Plumbing 1'3(, 903 IC:YI - q/') -/0001,- T <t- >*
Mechanical / C, I 741 Z;L/l::.J!JJ.. - IO'1Qj
225 Fifth Street
, .
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal.Number
COM2009-0 1508
COM2009-0 1508
COM2009-0 1508
COM2009-0 1508
COM2009-0 1508
COM2009-0 1508
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200900000000001181
Date: 10/14/2009
Description
,Building Permit
Fixture
Mechanical-Value
Minimum/Adjustment Mechanical
+ 5% Technology Fee,
.+ 12% State Surcharge
Paid By
ALLIANCE RESTORA nON
SVCS
Hem Total:
L'heck Numb~r Authorization
Received By Batch Number Number How Received
klk
005299 In Person
,
Payment Total:
Page 1 of 1
9:59:18AM
Amount Due
326,17
95,00
58.00
2100
25,01
60,02.
$585.20
Amount Paid
$585.20
$585.2U
10/14/2009